Individual
AZAR MAHDAVI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
44055 RIVERSIDE PKWY STE 106, LEESBURG, VA 20176-5155
(844) 466-8244
Mailing address
21250 WINDMILL PARC DR UNIT 104, STERLING, VA 20166-6699
(703) 470-7841
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
24193204
VA
Other
Enumeration date
05/22/2025
Last updated
05/22/2025
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